Case Presentation A 35-year-old postpartum woman was referred to the General Medicine service by the Obstetrics team after routine post-delivery laboratory investigations revealed elevated serum calcium levels. She had delivered normally two months prior.
Clinical History The patient had persistent vomiting throughout pregnancy, partially responsive to antiemetics, but did not exhibit classic hypercalcemia symptoms such as nephrolithiasis, bone pain, abdominal discomfort, or neuropsychiatric changes She had no prior history of malignancy, granulomatous disease, or endocrine disorders Family history was notable for maternal sarcoidosis, raising initial diagnostic consideration Physical Examination On admission, examination showed: Signs of dehydration Dry mucous membranes Dry skin There was: No fever No weight loss No findings suggestive of malignancy or systemic disease Initial…